Amanda Clark

NPI 1144964107 · on the registry since 2022

Practice

Address: 24901 Northwestern Hwy Ste 500
Southfield, MI 48075
Phone: (248) 365-8425
Organisation at this address: Triune Care Inc
Candus Cares Llc
Zz Medisource Llc
Bobbi Edwards Md Pc
Us Knee Center Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 1041C0700X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan